Coaching Client interest form

1

What is your name?* This field is required.Please enter your preferred first name.

First Name

Last Name

2

What is your email address?* This field is required.Please enter the email address you would like me to use to contact you.

example@example.com

3

What's the best number to contact you on?* This field is required.I'll use your mobile number to remind you about appointments and check in with you between sessions.

Please enter a valid phone number.

4

What are you interested in booking?This is only an indication of your interest at this point.

3 session dive in (£360)

6 session immersion (£680)

5

What frequency would you like your conversations?This gives me an indication of the urgency of your coaching.

Once a week

Once a fortnight

Once a month

Less than once a month

6

Which is your top priority right now?You can select more than 1 option.

Confidence

Relationships with colleagues

Career direction / options

New role expectations

Work-life balance

Leadership skills

Interview skills

Other

8

GDPR Notice* This field is required.I hope you will be happy for me to store your data in accordance with GDPR regulations (and also in the unlikely occasion where I will need my coaching log audited by the ICF).

Please tick here if you agree for me to hold your personal contact information in line with the Data Protection Act (DPA 2018) and UK General Data Protection Regulation (UK GDPR).

9

Signature* This field is required.By signing here you agree for Jenny Sharp Coaching to hold your information for the purpose of contacting you in regards to services provided (and for the ICF to be able to audit my coaching log should it be required for accreditation).

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